Electrocardiology Teacher Analysis and Review

David H. Spodick, MD, DSc, Section Editor Medical Service, St Vincent Hospital, Worcester, MA

Wolff-Parkinson-White ECG With Pseudo-Infarct

David H. Spodick, MD, DSc
From the Medical Service, St Vincent Hospital, Worcester, MA Address for correspondence: David H. Spodick, MD, DSc, Medical Service, St Vincent Hospital, 123 Summer Street, Worcester, MA 01608

he patient was a 36-year-old man without known clinical cardiac disease. The electrocardiogram shows classic delta waves in every lead, short (100 ms) PR interval, and QRS (actually delta-to-RS) duration of 170 ms. Delta waves

in leads II, III, and aVF are negative, appearing as false Q-waves of inferior myocardial infarction. With a Wolff-Parkinson-White electrocardiogram, all initial abnormalities, particularly Q-waves, cannot be interpreted separately.

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ELECTROCARDIOLOGY ANALYSIS AND REVIEW

THE AMERICAN JOURNAL OF GERIATRIC CARDIOLOGY 2008 VOL. 17 NO. 1

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